South Bay Community Church

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GRADUATE INFORMATION SHEET

* Required

First Name *

Last Name *

Email Address *

Address Line 1 * Address Line 2
City *	State *	Zip Code *

	Area Code	Phone Number
Home Phone *
Fax Phone
Work Phone		Ext:
Cell Phone

Graduate's Name: *
Parent's Name:
Name of School: *
Please check graduate level and indicate major (if applicable): *	Kindergarten Elementary Junior High Senior High Undergraduate Post Graduate Vocational Other (Specify Below)
Undergraduate Major:
Post Graduate Major:
Vocational Major:
Other (Specify):
Awards/Special Recognition/Honors:
Interests/Hobbies/Talents: (Please provide two descriptions per category)
Community/Church Activities:
If graduating from high school or college, what are your future plans? [I.e., college, graduate school, carer goals, etc.]
What is your favorite Bible scripture?

OPTIONAL: For inclusion into a Photo Presentation of the graduate, NO more than Three (3): (2 activity & 1 class picture or semi-formal headshot). No printed photos will be accepted, they must be in softcopy format: scanned (digital) and emailed or submitted on a CD or flashdrive; ALL photos must be received by 5:00 p.m. on Wednesday, June 3rd. to Church Office, to the MarCom Group at: marcom@sobcc.org (no exceptions).

For all application or form questions and submittals please contact, Pastor Meshia Jones (mjones@sobcc.org) or Celeste Bernard, Children's Director (childrens@sobcc.org). Do Not Submit your applications or other documentation to the MarCom Group.